DR. Alisa M Nelson-Wade

NPI #1144460668 in Grayson, Georgia

Provider Information

NPI Number
1144460668
Entity Type
Individual
Name
DR. Alisa M Nelson-Wade
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 24, 2009
Last Updated
Feb 24, 2009

Practice Location

Address
2219 LOGANVILLE HWY
Address 2
HWY 20
State
Georgia
ZIP Code
30017
Phone
(678) 377-1800

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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